Medical Billing and Coding Specialist Salary in Texas (2026)

According to the Bureau of Labor Statistics, medical billing and coding specialist wages in Texas vary by metro area, experience, and specialization. Below you will find detailed salary data and wage percentile breakdowns.

Medical-Billing-Coding Salary in Texas

Median Salary $48,860 $23.49/hr
Average Salary $52,880 $25.42/hr
State National Diff
Median Wage $48,860 $51,140 -4.5%
Mean Wage $52,880 $56,790 -6.9%

Salary Range

$34,440 10th pctl
$48,860 Median
$78,390 90th pctl
10th Percentile $34,440 $16.56/hr
25th Percentile $39,470 $18.98/hr
75th Percentile $63,970 $30.76/hr
90th Percentile $78,390 $37.69/hr

Employment & Outlook

Total Employed17,210
Jobs per 1,0001.2

Medical Records Specialists (29-2072) • BLS OEWS, May 2025 • bls.gov/oes

Medical Billing and Coding Specialist Wages by Metro Area in Texas

Medical Records Specialists Wages by Metro Area in Texas

According to the Bureau of Labor Statistics ( OES data), medical records specialists wages in Texas vary by metro area.

Metro AreaEmploymentMedian Annual WageAvg. Annual WageEntry Level
(10th pctile)
Experienced
(90th pctile)
Dallas-Fort Worth-Arlington5,210$52,140$57,030$37,950$80,190
Houston-Pasadena-The Woodlands3,680$51,250$56,910$38,150$80,510
San Antonio-New Braunfels1,670$46,110$49,740$34,340$72,260
Austin-Round Rock-San Marcos1,320$48,990$52,290$25,890$79,700
El Paso560$47,860$48,740$26,860$66,390
McAllen-Edinburg-Mission410$39,150$42,450$22,530$63,820
Killeen-Temple220$49,440$53,320$35,600$74,960
Lubbock200$43,980$45,740$29,030$64,930
Brownsville-Harlingen190$38,800$42,420$27,830$60,580
Corpus Christi190$38,080$42,120$30,130$58,800
Amarillo170$47,410$50,230$31,100$68,220
Tyler170$44,500$51,150$34,430$83,170
Beaumont-Port Arthur130$41,280$45,850$34,170$63,470
College Station-Bryan120$44,400$46,120$29,890$63,900
San Angelo120$46,930$49,030$36,300$60,040
Longview110$44,590$48,020$33,780$65,010
Waco110$43,130$44,710$27,990$58,660
Wichita Falls110$45,100$46,610$29,780$62,400
Abilene80$48,390$50,430$35,220$69,900
Midland80$52,740$57,470$38,880$84,730
Laredo60$38,370$43,180$27,910$64,320
Texarkana60$34,940$39,760$24,890$62,230
Victoria60$51,250$50,990$34,520$78,130
Odessa50$50,410$52,030$35,100$82,000
Sherman-Denison50$43,160$44,820$31,770$57,800

Wages reflect survey data and vary based on experience, credentials, employer, and local market conditions. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May .

Understanding Wage Percentiles

Wage percentiles show how medical billing and coding specialist salaries are distributed across Texas. The 10th percentile represents entry-level wages, while the 90th percentile reflects what experienced professionals earn. The median (50th percentile) is the midpoint where half of medical billing and coding specialists earn more and half earn less.

These figures come from the Bureau of Labor Statistics and reflect reported wages for Texas. Actual earnings depend on employer, certifications, and years of experience.

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About this guide: Researched and written by the TradeCareerPath Editorial Team. Our editorial team researches and sources every trade school and career guide using federal labor and education data, including BLS OEWS and Employment Projections, DOL apprenticeship records, IPEDS, College Scorecard, and state licensing boards. We follow the editorial standards documented at /editorial-policy/.

Data sources

Figures on this page are sourced from the federal and state datasets below. Methodology: how we rank and source data.

DataProviderVintage
Occupational Employment and Wage Statistics (OEWS)U.S. Bureau of Labor StatisticsMay 2025
Employment ProjectionsU.S. Bureau of Labor Statistics2024-2034
Integrated Postsecondary Education Data SystemNational Center for Education Statistics (IPEDS)2024
College Scorecard (school-level outcomes)U.S. Department of Educationlatest release
College Scorecard (field-of-study earnings)U.S. Department of Educationlatest release (updated 2026-06-12)
Occupational licensing requirementsCareerOneStop (U.S. Department of Labor)latest release (updated 2026-02-22)
Registered apprenticeship programsCareerOneStop / Apprenticeship.gov (U.S. Department of Labor)latest release (updated 2025-10-25)
O*NET occupation profiles (skills, tasks, tools, job zones)U.S. Department of Labor (O*NET / Employment & Training Admin.)O*NET 29.1 (updated 2026-06-13)